PURANCHANDER SHETTY (NPI# 1104869312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104869312 |
| Entity Type | Individual |
| Full Name | PURANCHANDER SHETTY |
| Credential | MD |
| Practice Address |
Hurley Medical Center One Hurley Plaza, Radiology Dept Flint MI 48503 |
| Mailing Address |
Po Box 4459 Flint MI 48504-0459 |
| Practice Telephone | 8104244761 |
| Practice Fax Number | 8104244871 |
| Mailing Telephone | 8104244761 |
| Mailing Fax Number | 8104244871 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
4301037112 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
HURLEY MEDICAL CENTER ONE HURLEY PLAZA, RADIOLOGY DEPT |
| City | FLINT |
| State | MI |
| Zip Code | 48503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144263831 | Apparao Mukkamala | Radiology | Hurley Medical Center, One Hurley Plaza, Radiology Dept, Flint, MI 48503 | 2006-06-13 |
| 1336156249 | Associated Radiologists of Flint PC | Radiology | Hurley Medical Center, One Hurley Plaza Radiology Dept, Flint, MI 48503 | 2006-08-02 |
| 1043238074 | Ronald A Sparschu | Radiology | Hurley Medical Center, One Hurley Plaza - Radiology Dept, Flint, MI 48503 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245664119 | Michigan Institute for Minimally Invasive & Vascular Therapies PC | Radiology | 2370 S Linden Rd Ste 300b, Flint, MI 48532-5429 | 2013-08-28 |
| 1417998980 | Marc L Kahn | Radiology | G3239 Beecher Rd, Suite F, Flint, MI 48532-3616 | 2006-06-08 |
| 1609834019 | Mark Weiss | Radiology | G3239 Beecher Rd, Suite F, Flint, MI 48532-3616 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170221 | Mvc Clinical Practice - Mi PC | Radiology | 7125 Orchard Lake Rd Ste 120, West Bloomfield, MI 48322-3627 | 2019-05-23 |
| 1861905739 | Jacastillano Pllc | Radiology | 5310 Breeze Hill Pl, Troy, MI 48098-2725 | 2017-11-14 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1396188595 | Haiying Yu | Radiology | 1215 E Michigan Ave Fl 4, Lansing, MI 48912-1811 | 2013-04-08 |
| 1144549692 | Tatulya Tiwari | Radiology | 1500 E. Medical Center Dr #b1f510k, Rad: Diagnostic Radiology, Ann Arbor, MI 48109-5030 | 2010-05-24 |
| 1811164437 | Faiz D Francis | Radiology | 903 Wesley Dr, Troy, MI 48098-5622 | 2008-05-13 |
| 1851411227 | Chutcharn Kongphanich | Radiology | 1044 Island Drive Ct Apt 104, Ann Arbor, MI 48105-2075 | 2007-03-30 |
| 1629146527 | Advanced Diagnostic Imaging Interventional & Vascular Center | Radiology | 5462 State St, Saginaw, MI 48603-3678 | 2006-12-01 |
| 1780630541 | Michael E Lulenski | Radiology | 22731 Newman St Ste 250, Dearborn, MI 48124-1930 | 2006-05-25 |
| 1922069400 | Progressive Medical Imaging & Minimally Invasive Therapeutics Plc | Radiology | 4200 Fashion Square Blvd, Saginaw, MI 48603-1291 | 2006-04-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.